Psychological status and coping behavior in liquidators of the consequences of the accident at the Chernobyl nuclear power plant in the remote period
https://doi.org/10.25016/2541-7487-2021-0-2-05-10
Abstract
Relevance. The large-scale accident at the Chernobyl nuclear power plant raised the problem of overcoming its economic, medical, social and psychological consequences. This is extremely important for liquidators of the Chernobyl accident consequences (LACs) with more than 15 different somatic diseases that reduce their quality of life and coping resources, negatively affect the psychological status, the effectiveness of treatment and medical rehabilitation.
Intention. Assessment of psychological status and coping behavior in LACs in the remote period and justification of the need to provide them with psychological and psychotherapeutic assistance.
Methodology. Using psychological tests, 101 LACs undergoing inpatient treatment for somatic pathology were examined. The psychological status (health, activity, mood; state and trait anxiety, the impact of a traumatic event) and coping strategies were assessed. The results were compared with a control group using the Student’s t-test for different-sized unrelated samples.
Results and discussion. The features of the psychological status and coping behavior in LACs in the remote period are shown. Indicators of well-being, activity, mood are presented; state and trait anxiety, the impact of a traumatic event and coping strategies are comparatively assessed. The most significant markers of psychological disorders and maladaptive coping strategies are identified
Conclusion. The data presented in the article are an important basis for including psychological and psychotherapeutic assistance in the programs of specialized medical care for LACs in the inpatient settings within state guarantees of free medical care for citizens of the Russian Federation.
About the Authors
S. S. AleksaninRussian Federation
Sergej Sergeevich Aleksanin – Corresponding Member of Russian Academy of Sciences, Dr. Med. Sci. Prof., Director
4/2, Academica Lebedeva Str., St. Petersburg, 194044
V. Yu. Rybnikov
Russian Federation
Viktor Jur’evich Rybnikov – Dr. Med. Sci., Dr. Psychol. Sci. Prof., Deputy Director (Science and Education, Emergency Medicine)
4/2, Academica Lebedeva Str., St. Petersburg, 194044
M. V. Savelyeva
Russian Federation
Marija Vladimirovna Savelyeva – Research associate, Research Department for Organization of the Scientific Activity
4/2, Academica Lebedeva Str., St. Petersburg, 194044
References
1. 30 let posle Chernobylya: patogeneticheskie mekhanizmy formirovaniya somaticheskoi patologii, opyt meditsinskogo soprovozhdeniya uchastnikov likvidatsii posledstvii avarii na Chernobyl’skoi atomnoi elektrostantsii : monografiya [30 years after Chernobyl: pathogenetic mechanisms of formation of somatic pathology, medical support of participants in elimination of consequences of accident at Chernobyl nuclear power plant: monograph]. Еd. S.S. Aleksanin. SanktPeterburg. 2016. 506 р. (In Russ.)
2. Aleksanin S.S., Rybnikov V.Yu., Sannikov M.V., Savel’eva M.V. Kachestvo zhizni i smyslozhiznennye orientatsii u likvidatorov posledstvii avarii na Chernobyl’skoi AES v otdalennom periode. [The quality of life and meaningful life orientations in liquidators of the consequences of the Chernobyl accident in the distant period]. Vestnik psihoterapii [The Bulletin of Psychotherapy]. 2020. N 73. Pp. 59–67. (In Russ.)
3. Vodop’yanova N.E., Starchenkova E.S. Strategii i modeli preodolevayushchego povedeniya // Praktikum po psikhologii menedzhmenta i professional’noi deyatel’nosti [Practice on the psychology of management and professional activities]. Eds.: G.S. Nikiforov [et al.]. SanktPeterburg. 2001. 240 p. (In Russ.)
4. Doskin V.A., Lavrent’eva N.A., Miroshnikov M.P., Sharai V.B. Test differentsirovannoi samootsenki funktsional’nogo sostoyaniya [Differentiated self-assessment of functional state test]. Voprosy psihologii [Questions of psychology]. 1973. N 6. Pp. 141–145. (In Russ.)
5. Zaborovskii K.A., Lobeiko V.V., Iordanishvili A.K. Psikhofiziologicheskii status lyudei pozhilogo i starcheskogo vozrasta, stradayushchikh zabolevaniyami slyunnykh zhelez [Psychophysiological status of senile patients suffering from salivary glands diseases]. Kurskii nauchno-prakticheskii vestnik «Chelovek i ego zdorov’e» [Kursk Scientific and Practical Bulletin “Man and His Health”]. 2014. N 3. Pp. 47–54. (In Russ.)
6. Ivanov V.K., Kashcheev V.V., Karpenko S.V. [et al.]. Zabolevaemost’ i smertnost’ ot leikozov uchastnikov likvidatsii posledstvii avarii na Chernobyl’skoi AES: otsenka radiatsionnykh riskov za period nablyudeniya s 1986 po 2014 g. [Leukemia incidence and mortality of recovery operation workers of the Сhernobyl accident: assessment of radiation risks for the follow-up period of 1986–2014]. Radiatsionnaya gigiena [Radiation hygiene]. 2018. Vol. 11, N 4. Pp. 7–17. DOI: 10.21514/1998-426X-2018-11-4-7-17. (In Russ)
7. Meditsinskie radiologicheskie posledstviya Chernobylya: prognoz i fakticheskie dannye spustya 30 let [Medical radiological consequences of Chernobyl: forecast and actual data after 30 years]. Eds. V.K. Ivanov, A.D. Kaprin. Moskva. 2015. 450 р. (In Russ.)
8. Mel’nitskaya T.B., Rybnikov V.Yu., Khavylo A.V. Sotsial’nopsikhologicheskie problemy zhiznedeyatel’nosti i stressovye reaktsii naseleniya v otdalennom periode posle avarii na Chernobyl’skoi AES [Social and psychological problems of activity and stress reactions of the population in the remote period after the accident at the Chernobyl nuclear power plant] : monograph. Sankt-Peterburg. 2015. 148 p. (In Russ.)
9. Mel’nitskaya T.B., Khavylo A.V., Belykh T.V. Shkala otsenki vliyaniya travmaticheskogo sobytiya (IES-R) primenitel’no k radiatsionnomu faktoru [The Impact of Event Scale – Revised (IES-R) as applied to the factor of radiation]. Psihologicheskie issledovanija [Psychological Studies]. 2011. N 5. Pp. 15–21. (In Russ.)
10. Ramzaev V.P., Barkovsky A.N. Dinamika umen’sheniya moshchnosti dozy gamma-izlucheniya v vozdukhe v sel’skikh naselennykh punktakh Bryanskoi oblasti Rossii v otdalennom periode posle chernobyl’skoi avarii [Dynamics of decrease of the gamma dose rate in airin rural settlements of the Bryansk region (Russia)in the remote period after the Chernobyl accident]. Radiatsionnaya gigiena [Radiation hygiene]. 2020. Vol. 13, N 1. Pp. 38–46. DOI: 10.21514/1998-426X-2020-13-1-38-46. (In Russ)
11. Rybnikov V.Yu., Vishnevskaya V.P. Obraz bolezni u likvidatorov posledstvii avarii na Chernobyl’skoi AES s psikhosomaticheskoi patologiei: kontseptsiya, mekhanizmy, psikhologicheskaya korrektsiya [The image of the disease among liquidators of the consequences of the accident at the Chernobyl nuclear power plant with psychosomatic pathology: concept, mechanisms, psychological correction]. Minsk. 2004. 157 p. (In Russ.)
12. Sidorenko E.V. Metody matematicheskoi obrabotki v psikhologii [Methods of mathematical processing in psychology Methods of mathematical processing in psychology]. Sankt-Peterburg. 2007. 350 р. (In Russ.)
13. Hanin Ju.L. Kratkoe rukovodstvo k primeneniyu shkaly reaktivnoi, lichnostnoi trevozhnosti Ch.D. Spilbergera [A short guide to the use of the scale of reactive, personal anxiety]. Leningrad. 1976. 40 p. (In Russ.)
14.
Review
For citations:
Aleksanin S.S., Rybnikov V.Yu., Savelyeva M.V. Psychological status and coping behavior in liquidators of the consequences of the accident at the Chernobyl nuclear power plant in the remote period. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2021;(2):5-10. (In Russ.) https://doi.org/10.25016/2541-7487-2021-0-2-05-10